PL-13-1645k,
° Inspection Worksheet
Miami Shores Village
10060 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Number. INSP- 195703 Permit Number: PL -7 -13 -1645
Scheduled Inspection Date: December 26, 2013 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: DEVINE, MICHAEL & CLAUDIA Work Classification: Gas
Job Address: 54 NE 102 Street
Miami Shores, FL 33138- Phone Number 305 - 759 -4883
Project: <NONE> Parcel Number 1132060131470
Contractor: AROUND THE CLOCK GAS SERVICE Phone: 305 - 231 -3632
Bu
comments
GAS LINE TO TANKLESS W/H , DRYER AND RANGE INSPECTOR CO ratiuu 110mmenr5
COMMENTS False
December 26, 2013 For Inspections please call: (305)7624949 Page 4 of 19
Inspector Comments
Passed
Failed
Correction..
°
Needed
o
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
December 26, 2013 For Inspections please call: (305)7624949 Page 4 of 19
DROP TEST CERTIFICATION
Around The Clock Gas Service, Corp.
13117 NW 107 Ave unit 17
Hialeah Gardens, FL. 33018
Phone: 305 - 2313632 ext 301
Fax: 305 - 231 -4180
STATE LIC# LPG17356
CLASS# 803
December 23, 2013
To: Whom It May Concern in the City Of Miami Shores Plumbing Department.
This is to cetWfi, that Around the Clock Gas Service Corp. an authorized Advantage Dealer of
Peoples Gas has performed a drop test at the following site and tested all tine appliance
connections. The gas line has been checked to the standards of the 2010 Florida building
code, SECTION 406 (IFGS) INSPECTION, TESTING AND PURGING 406.1 GENERAL
and properly tested to meet the standards of 1 dFPA 54.
The work was performed for:
54 NE 102 ST
Miami Shores, FI 33138.
Test Pressure 8.0
Lockup pressure. 11.2
Operating pressure: 11.0
Test time. 10 Minutes
If you should have any questions regarding this matter please do not hesitate to call us.
SinCelely
maury Gonzalez
CEO
Around The CI Gas Service Corp.
STATE OF FLORIDA COUNTY OF BIJAMI DADE, SWORA' TO &
SUBSCRIBED BEFORE ME THIS Z 3 DAY OF lZae t..LA.4- 20 13
AMAURYGONZALEZ PERSONALLYKNOWN TOME
S/GNATUREOFNOTARYPUBLIC
°• MY COMMISSION B EEWn75
,x EXPIRES January 22.2017
wo�,�o�ss �omn
Miami Shores Village i
Building Department JUL 3 2 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No. P//3 6 ��
PERMIT APPLICATION Master Permit No. C 4 —% 2- — 6 s�e?
Permit Type: PLUMBING
JOB ADDRESS: S 4 to L 10 ;). Si
City: Miami Shores County: Miami Dade Zip: `�
Folio/Parcelt
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
City: _Z � a State: I t— Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: i
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City: Vk C- r4
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State: FL
Zip: �� 0 1
Qualifier Name:
�
Phone #:
-_Y6 6 7 7 3 6
State Certification or Registrati #:
1-� -4
" Certificate of Competency #:
Contact Phone#: ?:-, OT, X3 °`1-
Email Address: C_ ^-ac.Q'A v'v.UVj ji
ks C, (0c
DESIGNER: Architect/Engineer:
Phone#:
Value of Work for this Permit: $ ?-.>j QC<_> Square/Linear Footage of Work:
Type of Work: ❑Address iteration QNew ORepair/Replace ODemolition_ 11
Description of Work: %' �� y.- O
Submittal Fee $ Permit Fee $ Z �5 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
ZO
TOTAL FEE NOW DUE $ �—
'Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured'for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged 1-17 y
Signatures
Owner or Agent a
The fore in instrument was ledg before this (/k--'
day of , 20 ,ice, , b V
w personall kn wn a or who has produced
identification and who did Wie
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APPROVED BY �'}'L 3- i 3 Plans Examiner Zoning
Structural Review Clerk
(Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)